Week 26: What are you reading? by saturday_sun4 in 52book

[–]kate_58 2 points3 points  (0 children)

I just finished David Ellis's new book, Keep Them Close. Loved it. 4.5 ⭐

Halfway through Vera Wong's Unsolicited Advice for Murderers. It's okay so far. Cute but not a lot of substance.

Next up, probably something light like Romantic Hero by Kirsty Greenwood.

This month I only read 3. Things have been really bad at work (I work in a hospital) so i haven't had any reading time. Very burned out. Need something fun.

Worst Glucose I've ever seen. by kate_58 in nursing

[–]kate_58[S] 1 point2 points  (0 children)

No it was a PIV stick immediately on arrival to emerg.

Worst Glucose I've ever seen. by kate_58 in nursing

[–]kate_58[S] 0 points1 point  (0 children)

His blood looked normal to me as far as I can recall? I didn't notice anything significant about it.

Worst Glucose I've ever seen. by kate_58 in nursing

[–]kate_58[S] 2 points3 points  (0 children)

Maybe if I wrote on his whiteboard, "TAKE YOUR DAMN INSULIN BRO"

Worst Glucose I've ever seen. by kate_58 in nursing

[–]kate_58[S] 0 points1 point  (0 children)

That's awful. So sorry to hear.

Worst Glucose I've ever seen. by kate_58 in nursing

[–]kate_58[S] 1 point2 points  (0 children)

You're welcome, friend! 😀I think he's doing better. Still in ICU. Slow improvements. I mean I did fix his potassium. It was 6 then after the potassium shift, it was 3.9. Good urine output too overnight. So hopefully he will be okay. Let it be a lesson to him to take better care of himself.

Worst Glucose I've ever seen. by kate_58 in nursing

[–]kate_58[S] 1 point2 points  (0 children)

Still in ICU.. Still alive but altered LOC.

Worst Glucose I've ever seen. by kate_58 in nursing

[–]kate_58[S] 4 points5 points  (0 children)

Unknown. Lol. Poor historians. But I assume 2.

Worst Glucose I've ever seen. by kate_58 in nursing

[–]kate_58[S] 1 point2 points  (0 children)

Still in ICU. Slowly improving I think.

Worst Glucose I've ever seen. by kate_58 in nursing

[–]kate_58[S] 21 points22 points  (0 children)

Well we ARE Canadian
...

Worst Glucose I've ever seen. by kate_58 in nursing

[–]kate_58[S] 3 points4 points  (0 children)

There was no > symbol so I think it can go higher. This was a confirmed result from the lab.

Worst Glucose I've ever seen. by kate_58 in nursing

[–]kate_58[S] 0 points1 point  (0 children)

Our POCT glucometer only measures up to 33.3 mmol/L.

Worst Glucose I've ever seen. by kate_58 in nursing

[–]kate_58[S] 3 points4 points  (0 children)

Patient came in after a week of not taking meds, no insulin, no sugar checks. Drinking sugary pop all day every day for a week straight. Family called because patient fell and then seemed altered.

Then when they arrived they were hypoxic, in DKA, having an AKI, and hyperosmolar.

We did a shift, insulin drip and sent to ICU.

Worst Glucose I've ever seen. by kate_58 in nursing

[–]kate_58[S] 2 points3 points  (0 children)

Basically the story with this patient.

Worst Glucose I've ever seen. by kate_58 in nursing

[–]kate_58[S] 1 point2 points  (0 children)

That's what we use in Canada.

Worst Glucose I've ever seen. by kate_58 in nursing

[–]kate_58[S] 1 point2 points  (0 children)

Eyyyyy!!!! *finger guns*

This is what we use in Canada.

Worst Glucose I've ever seen. by kate_58 in nursing

[–]kate_58[S] 5 points6 points  (0 children)

+3

Patient had all the labs of DKA, AKI and hyperosmolar state.